Dr Carmen Briner

Dr Carmen Briner GP | Women’s & girls’ health
Puberty • Periods • Perimenopause
Helping you feel informed & supported

I’m a GP with a background in public health and a special interest in women’s and female adolescent health. I offer care for periods, contraception, menopause & weight management, plus puberty guidance for parents & t(w)eens.

04/12/2025

As a Doctor, I spend my days helping Women navigate their bodies, but in my 40’s I’m also learning a lot about my own!

💛 My 40s are teaching me to pay attention to myself:
The signs were always there… I just never slowed down long enough to notice them. Midlife has a way of calling you back to yourself in the gentlest and loudest ways at the same time.

💛 What matters now is consistency, not intensity:
I used to aim for big goals and big changes. Now I see how the smallest daily habits like drinking water, gentle movement, breathing, going to bed on time, do more for my health than any “all or nothing” approach ever did.

💛 I move because it makes me feel good, not to lose weight:
Movement has become a mental reset, a mood stabiliser, a way to calm my nervous system. It’s no longer about jeans or numbers on the scale but about feeling good in my own body.

💛 Midlife energy hits different when you prioritise sleep:
Sleep isn’t optional anymore. When I protect it, everything else feels manageable. When I don’t, I feel it instantly.

💛 I feel less like I’m getting older and more like I’m finally waking up:
There’s a clarity that comes in your 40s. You finally see what supports you and what doesn’t.

This is what midlife feels like to me. Tell me what it looks like for you?

02/12/2025

Does the pill make you gain weight? - The short answer is no.

Most people stay within their normal 1–2 kg fluctuation whether they’re on the pill or not.

What you might notice in the first few months is temporary bloating or mild appetite changes but this usually settles quickly.

✔ The pill does not slow your metabolism
✔ The pill does not cause fat gain
✔ Lifestyle, stress, age and routine play a far bigger role than contraception
✔ The type of pill matters more than the pill itself (e.g., drospirenone pills may even reduce bloating)

You sent in so many great questions about the combined oral contraceptive pill and today I’m answering a few of the most...
01/12/2025

You sent in so many great questions about the combined oral contraceptive pill and today I’m answering a few of the most common ones.

There are still so many myths, worries and mixed messages about the COCP, so let’s clear things up. Swipe through to learn more.

Have a follow-up question? Pop it in the comments.

The combined oral contraceptive pill (COCP) gets a huge amount of criticism but most of it comes from outdated informati...
25/11/2025

The combined oral contraceptive pill (COCP) gets a huge amount of criticism but most of it comes from outdated information or bad experiences with the wrong pill.

There isn’t one COCP. There are many, each with different hormone types & doses. Some help acne. Some reduce heavy bleeding. Some stabilise PMS. The key is choosing the right one for the right person and not writing off the entire category.

So let’s start clearing the confusion.

This is Myth #1 in my contraception series: “You can only start the pill on Day 1 of your period.”

Combined oral contraceptives can actually be started at any point in the cycle but the timing affects when you’re protected.

If you start on Day 1–5 of your period:
• You’re protected immediately.
• No backup contraception needed.

If you start at any other time (quick-start):
• First, rule out pregnancy!
• You’ll need 7 consecutive active pills before you’re protected.
• Use condoms or abstain during those first 7 days.

Quick-start is especially helpful for people with irregular or unpredictable cycles as it reduces delays, improves continuation, and lowers the risk of unintended pregnancy.

If you’re unsure which option is safest or best for you, book a consultation and we’ll work through it together.

13/11/2025

Every second post tells women over 40 to “add this supplement.”

But which ones are actually worth it?

Here’s what I take - and why:

💛 Vitamin D3 + K2 – for bone and immune health. Vitamin D helps your body absorb calcium, and K2 helps direct that calcium into your bones (not your arteries). Even in sunny South Africa, many of us are deficient, especially if we spend our days indoors or use sunscreen (which we should!). Low levels are linked to fatigue, low mood, frequent illness and bone pain.

💛 Magnesium – for sleep, stress, and muscle recovery. Not all Magnesium is the same. Check out my newsletter (link in bio) to learn more about the different types.

💛 Calcium – As oestrogen levels decline, bone density becomes more vulnerable. Bone density begins to decline even before periods stop, as oestrogen levels start fluctuating.

💛 Omega-3 (EPA & DHA) – for brain, joints, and heart. These essential fats are anti-inflammatory and support everything from mood and memory to hormone balance and cardiovascular function. Most women don’t get enough through diet alone (especially if you eat little oily fish), so supplementing helps fill that gap, particularly during perimenopause when inflammation and cholesterol changes can start to creep up.

Everything else? Depends on your individual needs and not what’s trending.

12/11/2025

Precocious puberty is when puberty starts too early (before age 8 in girls). This is when there is early activation of the hypothalamic–pituitary–gonadal (HPG) axis, leading to full pubertal development with progressive breast development and other signs of puberty, such as periods.

In boys the definition is puberty starting before age 9. The first most reliable sign you would notice is testicular enlargement.

P***c hair alone before 8 is usually adrenarche and not true ovarian/ testicular hormone activity.

We are seeing puberty trend younger overall, and it’s likely a mix of things like BMI, endocrine disruptors, poor sleep, light exposure at night and chronic stress.

When puberty starts too early, it’s not just about timing. It can affect how tall a child grows, how they feel about their changing body, and sometimes even signal an underlying health issue.

The good news is that with early assessment and treatment, we can often pause puberty safely and protect both height and wellbeing.

Most tweens find direct eye contact uncomfortable when discussing puberty and other big life topics. It increases the fe...
03/11/2025

Most tweens find direct eye contact uncomfortable when discussing puberty and other big life topics. It increases the feeling of being “watched” or evaluated, which can trigger self-consciousness and shut the conversation down.

Neuroscience research shows that during adolescence, the brain’s social-emotional centres are more reactive to social evaluation (yes, even during conversations between a parent and child). Direct eye gaze increases social load and perceived scrutiny. Side-by-side positioning lowers that intensity, which can make sharing easier and safer.

This is why small “micro chats” often work better than one formal “Talk.”

Here are some moments which work well in our home for these micro-conversations:
- in the car
- walking in the shops
- during our nature walks
- while cooking or packing lunches
- while folding laundry

Which everyday moment feels easiest in your home?

30/10/2025

Hands up, who’s already had “the talk”?

How did it go?

How did you feel before and after… and most importantly how did your child feel?

I’d love to hear your experience in the comments 👇

Hello!If you’ve been here a while, you’ve seen my journey evolve both personally and professionally but at the heart of ...
27/10/2025

Hello!

If you’ve been here a while, you’ve seen my journey evolve both personally and professionally but at the heart of it all, my passion has always stayed the same: Women’s and Girls’ health.

I work with women through every season of change, from puberty to perimenopause and beyond, offering care and support that’s practical and evidence-based.

What I help with:
• Period problems (irregular, heavy, painful cycles, bleeding between periods)
• Vulval & vaginal concerns (itch, discharge, odour, skin changes)
• Contraception options, including implants
• Menopause & perimenopause management
• Premenstrual mood changes & mental health support
• Breast checks & Pap smears
• Weight management in midlife and beyond

I’ve recently made Cape Town my home and I’m so excited to be practicing at the in Claremont.

📍 Suite 202 Library Square, Wilderness Road, Claremont
📞 Bookings: 063 964 2942 or via the link in my bio

Thank you for being part of this space 💛

Photo credit:

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Johannesburg

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